Qualified PhilHealth members and dependents diagnosed with breast cancer are eligible for evaluation.<\/p>\n
A diagnosis alone does not guarantee approval. Your attending physician will assess your condition and recommend a treatment plan. The hospital submits the required documents to PhilHealth Region 7 for approval before covered Z Benefit services are provided.<\/p>\n
Services and Package Amounts<\/span><\/h2>\nCovered services depend on your breast cancer stage and approved treatment plan. Your attending physician will explain which services apply to your condition.<\/p>\n
Diagnostic and Prognostication Services<\/h3>\n
These tests help doctors assess the cancer and plan treatment. Package amounts range from \u20b11,000 to \u20b110,000.<\/p>\n
Breast Cancer Surgery<\/h3>\n
Package amounts range from \u20b130,000 to \u20b1140,000, depending on the approved procedure.<\/p>\n
\u5316\u7597<\/h3>\n
Package amounts range from \u20b1122,000 to \u20b1198,000 for a complete cycle.<\/p>\n
Hormonal Therapy<\/h3>\n
Package amounts range from \u20b15,400 to \u20b136,000 for a complete cycle.<\/p>\n
Targeted Therapy<\/h3>\n
The listed package amount is \u20b11,000,008 for a complete cycle.<\/p>\n
Surveillance Services<\/h3>\n
These services involve follow-up monitoring. Package amounts range from \u20b1300 to \u20b14,000.<\/p>\n
These figures are package amounts, not cash payments to patients. Not every patient needs or receives every service listed.<\/p>\n
The patient information guide uses \u201ccomplete cycle\u201d for the treatment amounts above. Ask your care team to explain the treatment schedule and services included in your approved package.<\/p>\n
How to Apply<\/span><\/h2>\nStep 1. Consult Your Attending Physician<\/h3>\n
Visit your Chong Hua Hospital accredited Primary Attending Physician and obtain an endorsement for Z Benefit evaluation.<\/p>\n
Step 2. Submit Your Test Results<\/h3>\n
Submit the complete diagnostic and prognostication test results to the Hema-Onco Unit Nurse Coordinator. Your care team will guide you on the requirements.<\/p>\n
The patient guide lists mammogram or ultrasound, biopsy, complete blood count with platelet count, ER\/PR hormone receptor testing, alkaline phosphatase, HER2\/neu testing through immunohistochemistry with FISH confirmation if needed, and a metabolic panel with liver function tests.<\/p>\n
Step 3. Wait for Your Case Review<\/h3>\n
The Multidisciplinary Team, or MDT, will review your case and treatment plan. The Hema-Onco Unit Nurse Coordinator will notify you of the result.<\/p>\n
Step 4. Submit Your Treatment Documents<\/h3>\n
Submit the MDT Plan and Endorsement Slip to the Z Benefit Coordinator at the Medical Records Office.<\/p>\n
Step 5. Complete the Pre-authorization Documents<\/h3>\n
Complete the required PhilHealth Z Benefit pre-authorization documents at the Medical Records Office.<\/p>\n
Step 6. Wait for PhilHealth Approval<\/h3>\n
The Z Benefit Coordinator will notify you once PhilHealth Region 7 approves your pre-authorization.<\/p>\n
Step 7. Proceed with Admission or Treatment<\/h3>\n
Once approved, proceed with admission or treatment according to the arrangements with your care team.<\/p>\n
Approval and Payment Reminders<\/span><\/h2>\nPre-authorization means approval from PhilHealth before covered Z Benefit services are provided. Approved pre-authorization is valid for 60 calendar days from the approval date.<\/p>\n
A co-payment is the amount you pay toward your covered care. According to the patient information guide, the co-payment will not exceed the package rate. Your Primary Attending Physician will discuss the arrangement with you.<\/p>\n
If a co-payment applies, the required amount must be fully settled upon admission or treatment. Ask your physician and Z Benefit Coordinator to explain your approved coverage and payment responsibilities.<\/p>\n
Contact a Z Benefit Coordinator<\/span><\/h2>\nFor guidance on eligibility, required documents, coverage, and the application process, contact the coordinator at your preferred Chong Hua Hospital facility.<\/p>\n
Cebu City, Fuente. 0968-872-3454<\/p>\n
Mandaue. 0919-088-4762<\/p>\n
Final benefit approval and coverage are subject to PhilHealth requirements, pre-authorization, and evaluation.<\/p>\n
Step 1. Consult Your Attending Physician<\/h3>\n
Visit your Chong Hua Hospital accredited Primary Attending Physician and obtain an endorsement for Z Benefit evaluation.<\/p>\n
Step 2. Submit Your Test Results<\/h3>\n
Submit the complete diagnostic and prognostication test results to the Hema-Onco Unit Nurse Coordinator. Your care team will guide you on the requirements.<\/p>\n
The patient guide lists mammogram or ultrasound, biopsy, complete blood count with platelet count, ER\/PR hormone receptor testing, alkaline phosphatase, HER2\/neu testing through immunohistochemistry with FISH confirmation if needed, and a metabolic panel with liver function tests.<\/p>\n
Step 3. Wait for Your Case Review<\/h3>\n
The Multidisciplinary Team, or MDT, will review your case and treatment plan. The Hema-Onco Unit Nurse Coordinator will notify you of the result.<\/p>\n
Step 4. Submit Your Treatment Documents<\/h3>\n
Submit the MDT Plan and Endorsement Slip to the Z Benefit Coordinator at the Medical Records Office.<\/p>\n
Step 5. Complete the Pre-authorization Documents<\/h3>\n
Complete the required PhilHealth Z Benefit pre-authorization documents at the Medical Records Office.<\/p>\n
Step 6. Wait for PhilHealth Approval<\/h3>\n
The Z Benefit Coordinator will notify you once PhilHealth Region 7 approves your pre-authorization.<\/p>\n
Step 7. Proceed with Admission or Treatment<\/h3>\n
Once approved, proceed with admission or treatment according to the arrangements with your care team.<\/p>\n
Approval and Payment Reminders<\/span><\/h2>\nPre-authorization means approval from PhilHealth before covered Z Benefit services are provided. Approved pre-authorization is valid for 60 calendar days from the approval date.<\/p>\n
A co-payment is the amount you pay toward your covered care. According to the patient information guide, the co-payment will not exceed the package rate. Your Primary Attending Physician will discuss the arrangement with you.<\/p>\n
If a co-payment applies, the required amount must be fully settled upon admission or treatment. Ask your physician and Z Benefit Coordinator to explain your approved coverage and payment responsibilities.<\/p>\n
Contact a Z Benefit Coordinator<\/span><\/h2>\nFor guidance on eligibility, required documents, coverage, and the application process, contact the coordinator at your preferred Chong Hua Hospital facility.<\/p>\n
Cebu City, Fuente. 0968-872-3454<\/p>\n
Mandaue. 0919-088-4762<\/p>\n
Final benefit approval and coverage are subject to PhilHealth requirements, pre-authorization, and evaluation.<\/p>\n
For guidance on eligibility, required documents, coverage, and the application process, contact the coordinator at your preferred Chong Hua Hospital facility.<\/p>\n
Cebu City, Fuente. 0968-872-3454<\/p>\n
Mandaue. 0919-088-4762<\/p>\n
Final benefit approval and coverage are subject to PhilHealth requirements, pre-authorization, and evaluation.<\/p>\n
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